Ahmet Fiaflmazel, Hasan Erdem, Fuat Büyükbayrak, Onursal Bu¤ra

Sa¤ Ventriküle Penetre Eden Yaralanma

18 yaflnda erkek hasta sa¤ ventriküle penetre eden yaralanma sonras acil klini¤imize baflvurdu. Sa¤ ventriküle penetre eden yaralanmann 3 cm çapnda oldu¤u tespit edildi. Kanama, Foley sondann yaralanma bölgesinden sa¤ ventriküle do¤ru konulmas ve fliflirilmesi sayesinde kontrol altna alnd. Bu yaralanma sa¤ koroner arterin akut marjinal dalnn distal ksmn transekte etmiflti. Sa¤ ventrikül tamiri Foley sonda ve Medtronic Octopus Tissue Stabilization System kullanlarak baflarl bir flekilde gerçeklefltirildi. Sa¤ ventrikül üzerindeki yaralanma teflon destekli matris dikifllerle tamir edildi. Sa¤ koroner arterin distal akut marjinal dal ba¤land. Bu olgu sunumunda, uygulanan cerrahi yöntem anlatm eflli¤inde, kalbe acil cerrahi giriflimler konusu tartfllmaktadr.

Anahtar Kelimeler:

Penetre bçak yaras, sa¤ ventrikül

Penetrating Stab Wound Of The Right Ventricule

18 years old male patient was admitted to our emergency unit with a penetrating stab wound to the right ventricule. A stab wound to the right ventricle was found to be 3 cm in diameter. The bleeding was controlled by insertion of a Foley catheter and inflation of the balloon. The stab wound had transected distal acute marginal side of the right coronary artery. A successful repair was performed with the use of a foley catheter and application of the Medtronic Octopus Tissue Stabilization System. The wound was closed with pledgeted mattress sutures. The distal acute marginal side of the right coronary artery was ligated. In this presentation, the surgical intervention method was reported and followed by a discussion of emergency surgical procedures of the heart.

Keywords:

Penetrating stab wound, right ventricule,

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ISSN: 2149-2972
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 1990
Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi